NPIMap

Individual provider Active NPI

Warren Todd Oberle, MD

  • Urology Physician
  • Austell, GA
National Provider Identifier
1417967498
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
062752 Issued in GA
Practice address
1700 Hospital South Dr
Suite 201
Austell, GA 30106-6810
Phone
(770) 948-7228
Fax
(770) 745-1434
NPI assigned
Aug 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 062752 GA Primary

Addresses

Primary practice location

1700 Hospital South Dr
Suite 201
Austell, GA 30106-6810

Mailing address

1930 Brannan Rd
McDonough, GA 30253-4310
Phone (678) 284-4040

Other identifiers 1

IdentifierTypeStateIssuer
294525279AMedicaidGA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address warren.oberle.p1@direct.gupa.nextgenshare.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091215000074 GA Practitioner - Urology 3072615657 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
University of Texas Medical Branch at Galveston, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Georgia Urology, PAGroup PAC ID 8921094376, 99 clinicians
Urological Professional Services, LLCGroup PAC ID 9638391717, 72 clinicians

Practice addresses (Care Compare)

1700 Hospital Dr
Suite 201
Austell, GA 30106
Phone (770) 948-7228

4450 Calibre Xing NW
Acworth, GA 30101-4103
Phone (770) 607-1893

5730 Glenridge Dr
Suite 200
Sandy Springs, GA 30328-5579
Phone (404) 256-1844

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
78.21 of 100Reported as group
Quality
52.19
Promoting interoperability
98
Improvement activities
40
Cost
76.84

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hernia repair (minimally invasive)1-10
Prostate resection25
Removal of the uterus1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Georgia Urology PA Urology Current Accepting new patients
Georgia Urology PA Urology CurrentSince Sep 30, 2015 Accepting new patients
Urological Professional Services, LLC Urology CurrentSince Nov 1, 2014 Accepting new patients
Georgia Urology, PA CurrentSince Sep 30, 2015 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Wellstar Medical Group, LLC PastSince Sep 30, 2015 Accepting new patients

Locations

4450 Calibre Xing NW
Acworth, GA 30101
Phone (770) 607-1893

1700 Hospital South Dr
Ste 201
Austell, GA 30106
Phone (770) 948-7228

100 Liberty Blvd
Ste 230
Canton, GA 30114
Phone (678) 593-1043

1930 Brannan Rd
McDonough, GA 30253
Phone (678) 284-4040

5730 Glenridge Dr
Ste 200
Sandy Springs, GA 30328
Phone (404) 252-5206

4298 Atlanta Rd SE
Ste 305
Smyrna, GA 30080
Phone (678) 284-4040

4298 Atlanta Rd SE
Ste 300
Smyrna, GA 30080
Phone (770) 429-9100

900 Towne Lake Pkwy
Ste 200
Woodstock, GA 30189
Phone (678) 494-9201

Interoperability endpoints

  • Direct secure messaging: warren.oberle@gadirect.net
  • Direct secure messaging: warren.oberle.p1@direct.gupa.nextgenshare.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1417967498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1930 BRANNAN RD",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302534310",
            "telephone_number": "678-284-4040",
            "fax_number": "678-284-4076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 HOSPITAL SOUTH DR",
            "address_2": "SUITE 201",
            "city": "AUSTELL",
            "state": "GA",
            "postal_code": "301066810",
            "telephone_number": "770-948-7228",
            "fax_number": "770-745-1434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBERLE",
        "first_name": "WARREN",
        "middle_name": "TODD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-09",
        "last_updated": "2023-03-07",
        "certification_date": "2020-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "GA",
            "license": "062752",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "294525279A",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "warren.oberle.p1@direct.gupa.nextgenshare.com",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Direct Edge",
            "address_1": "1700 Hospital South Dr",
            "address_2": "Suite 201",
            "city": "Austell",
            "state": "GA",
            "country_code": "US",
            "postal_code": "301066810",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Austell, GA

Sources for this page

Verify at the official NPI Registry.